Individual
DR. GRAYSON T WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2459 15TH ST NW, STE. C, NEW BRIGHTON, MN 55112-5594
(651) 631-3100
(651) 631-1728
Mailing address
2459 15TH ST NW, STE. C, NEW BRIGHTON, MN 55112-5594
(651) 631-3100
(651) 631-1728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13219
MN
Other
Enumeration date
06/05/2013
Last updated
11/17/2013
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